NPIMap

Organization Active NPI

County of Sonoma

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Petaluma, CA
National Provider Identifier
1295949733
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COUNTY OF SONOMA
Practice address
5350 Old Redwood Hwy N, Suite 600
Petaluma, CA 94954-1115
Phone
(707) 565-4950
NPI assigned
May 10, 2007
Organization subpart
Yes
Parent organization
COUNTY OF SONOMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ruby Zhang
Title
Department Analyst
Phone
(707) 565-7846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5350 Old Redwood Hwy N, Suite 600
Petaluma, CA 94954-1115

Mailing address

5350 Old Redwood Hwy N, Suite 600
Petaluma, CA 94954-1115

Other identifiers 1

IdentifierTypeStateIssuer
49EBOtherCAPROVIDER NUMBER

Other names 1

  • CMHC PETALUMA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040616001152 CA Part B Supplier - Clinic/Group Practice 4688658651 Receives reassigned benefits from 65 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cloverdale, CA; Sonoma, CA; Santa Rosa, CA; Petaluma, CA; Guerneville, CA

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • County of Sonoma
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Santa Rosa, CA
    • NPI 1154537512

    O20040616001152

    Same enrollment
  • County of Sonoma
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Guerneville, CA
    • NPI 1225242860

    O20040616001152

    Same enrollment
  • County of Sonoma

    dba Mental Health Adult Services

    • Adult Mental Health Clinic/Center
    • Santa Rosa, CA
    • NPI 1245444868

    O20040616001152

    Same enrollment
  • County of Sonoma
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Santa Rosa, CA
    • NPI 1275749624

    O20040616001152

    Same enrollment
  • County of Sonoma
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Santa Rosa, CA
    • NPI 1306050828

    O20040616001152

    Same enrollment
  • County of Sonoma
    • Adolescent and Children Mental Health Clinic/Center
    • Santa Rosa, CA
    • NPI 1457498636

    O20040616001152

    Same enrollment
  • County of Sonoma

    dba Behavioral Health Full Service Partnerships

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Santa Rosa, CA
    • NPI 1457567802

    O20040616001152

    Same enrollment
  • County of Sonoma
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Santa Rosa, CA
    • NPI 1457923989

    O20040616001152

    Same enrollment
  • County of Sonoma
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Sonoma, CA
    • NPI 1598979031

    O20040616001152

    Same enrollment
  • County of Sonoma

    dba Adult Medication Support Services

    • Adolescent and Children Mental Health Clinic/Center
    • Santa Rosa, CA
    • NPI 1629124037

    O20040616001152

    Same enrollment
  • County of Sonoma

    dba Department of Health - Center for HIV Prevention and Care

    • Community Health Clinic/Center
    • Santa Rosa, CA
    • NPI 1699825067

    O20040616001152

    Same enrollment
  • County of Sonoma
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Santa Rosa, CA
    • NPI 1871647115

    O20040616001152

    Same enrollment
View all 15

National Provider Directory

National Provider Directory
Tax ID family
Community Hospital of61 organizations share this tax ID, including this one
Part of
Community Hospital of

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

5350 Redwood Hwy N
Ste 600
Petaluma, CA 94954
Phone (707) 565-4420

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1295949733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 OLD REDWOOD HWY N, SUITE 600",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 OLD REDWOOD HWY N, SUITE 600",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541115",
            "telephone_number": "707-565-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SONOMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SONOMA",
        "enumeration_date": "2007-05-10",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "DEPARTMENT ANALYST",
        "authorized_official_telephone_number": "707-565-7846"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "49EB",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMHC PETALUMA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.